Vilariño A, Cano I, Jiménez M A, Lozano F, González de Orbe G, Encinas A, Delgado M D, Berchi F
Servicio de Cirugía Pediátrica, Hospital 12 de Octubre, Madrid.
Cir Pediatr. 1995 Jan;8(1):40-3.
Pancreatic pseudocysts is a complication of acute posttraumatic pancreatitis. They usually cause recurrent abdominal pain, nausea, vomiting and elevation of serum amylase levels. A history of epigastric blunt trauma, the before mentioned clinical signs and echographic or scanning studies may lead to a certain diagnosis. Although most of them resolve spontaneously, some persist and active therapeutic measures are required. Surgical internal drainage has been the operative technique of choice in children. Nevertheless, treatment can be achieved by percutaneous aspiration or drainage of pancreatic recurrent collections. We present our experience in two children with posttraumatic pancreatic pseudocyst, treated successfully by means of a percutaneous transabdominal pig-tail catheter (Huisman catheter). The technique of catheter placement and clinical aspects are discussed.
胰腺假性囊肿是急性创伤后胰腺炎的一种并发症。它们通常会引起反复腹痛、恶心、呕吐以及血清淀粉酶水平升高。上腹部钝性创伤史、上述临床体征以及超声或扫描检查可能有助于明确诊断。尽管大多数假性囊肿可自行消退,但有些会持续存在,需要采取积极的治疗措施。手术内引流一直是儿童的首选手术方法。然而,经皮穿刺抽吸或引流胰腺反复积液也可达到治疗目的。我们介绍了两例创伤后胰腺假性囊肿患儿的治疗经验,通过经皮经腹猪尾导管(惠斯曼导管)成功治愈。文中讨论了导管置入技术及临床情况。